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目的探讨剖宫产术后腹壁切口子宫内膜异位症的临床特点、治疗和预防措施。方法对15例腹壁切口子宫内膜异位症患者进行回顾性分析。结果腹壁切口子宫内膜异位症好发于剖宫产之后,表现为切口部位出现与月经周期相关的痛性结节。结论对于腹壁切口子宫内膜异位症,手术是首选也是最好的治疗方法,术中彻底切除病灶周围0.5～1.0 cm正常组织,可以预防术后复发,剖宫产术中采取正确的预防措施是防治该病的关键。
Objective To investigate the clinical features, treatment and preventive measures of abdominal incision endometriosis after cesarean section. Methods Fifteen cases of endometriosis with abdominal incision were retrospectively analyzed. Results Abdominal wall incision endometriosis occurs in cesarean section after the performance of the incision site associated with the menstrual cycle painful nodules. Conclusions Surgery is the first choice and the best treatment for abdominal incision endometriosis. Thorough resection of normal tissue around 0.5 ~ 1.0 cm around the lesion can prevent postoperative recurrence and take proper precautionary measures in cesarean section Is the key to prevention and treatment of the disease.